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This is VAERS ID 279519

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279519
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Molluscum contagiosum

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a Registered Nurse (R.N.) manager concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed /"a rash known as /"Molloscum Contagiousum/" on her stomach after the injection. The N"urse Manager did not believe that the rash was related to Gardasil because it was a virus. Unspecified medical attention was sought. The outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

279519 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Molluscum contagiosum

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA04506

Write-up:Information has been received from a Registered Nurse (R.N.) manager concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed /"a "a rash known as /"Molloscum Contagiousum/" "Molloscum Contagiousum" on her stomach after the injection. The N"urse Nurse Manager did not believe that the rash was related to Gardasil because it was a virus. Unspecified medical attention was sought. The outcome was unknown. Additional information has been requested.


Changed on 8/31/2010

279519 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Molluscum contagiosum

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04506

Write-up:Information has been received from a Registered Nurse (R.N.) manager concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed "a rash known as "Molloscum Contagiousum" on her stomach after the injection. The Nurse Manager did not believe that the rash was related to Gardasil because it was a virus. Unspecified medical attention was sought. The outcome was unknown. Additional information has been requested.


Changed on 4/13/2011

279519 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Molluscum contagiosum

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04506

Write-up:Information has been received from a Registered Nurse (R.N.) manager concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed "a rash known as "Molloscum Contagiousum" on her stomach after the injection. The Nurse Manager did not believe that the rash was related to Gardasil because it was a virus. Unspecified medical attention was sought. The outcome was unknown. Additional information has been requested.


Changed on 5/13/2011

279519 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Molluscum contagiosum

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04506

Write-up:Information has been received from a Registered Nurse (R.N.) manager concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed "a rash known as "Molloscum Contagiousum" on her stomach after the injection. The Nurse Manager did not believe that the rash was related to Gardasil because it was a virus. Unspecified medical attention was sought. The outcome was unknown. Additional information has been requested.


Changed on 6/11/2011

279519 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Molluscum contagiosum

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04506

Write-up:Information has been received from a Registered Nurse (R.N.) manager concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed "a rash known as "Molloscum Contagiousum" on her stomach after the injection. The Nurse Manager did not believe that the rash was related to Gardasil because it was a virus. Unspecified medical attention was sought. The outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

279519 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Molluscum contagiosum

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04506

Write-up:Information has been received from a Registered Nurse (R.N.) manager concerning a female patient who was vaccinated with a first dose of Gardasil. The patient developed "a rash known as "Molloscum Contagiousum" on her stomach after the injection. The Nurse Manager did not believe that the rash was related to Gardasil because it was a virus. Unspecified medical attention was sought. The outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279519&WAYBACKHISTORY=ON


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